Roseneath Medical Practice patients’ feedback

‘…I was extremely impressed with the care I received and would not hesitate to return to the practice in future…’

‘…Very responsive, rapid treatment & results. Highly recommended!…’

‘…A genuinely caring doctor, who is reliable and has coverage that goes beyond a normal GP service – weekends and evening contact with aftercare and follow-ups. Comprehensive referral service with the best specialists in their field..’

‘…I have never felt more comfortable with a doctor…’

‘…Genuinely one of the best medical practices I have ever visited…’

‘…Roseneath provides the best in private medical care…’

‘…Outstanding staff and I appreciate the holistic and caring approach…’

‘…Superb. Attentive, quick to respond, hugely professional…’

‘…I don’t have words to express my appreciation for your brilliant services…’

‘…Excellent service in all respects – speed, care, thoughtfulness…’

‘…My entire experience with Roseneath Medical Practice was efficient, friendly, and professional, and I recommend them without reservation!…’

‘…Great team here. Very professional and unbelievable level of service and aftercare. You’ll never go back to your old Doctor again…’

‘…Really great service. Easy to get a quick appointment…’

‘…I have used this private practice on a few occasions and have found them to very professional and efficient. All the staff are very reassuring, friendly and helpful making you feel at ease…’

Coeliac disease

Did you know that untreated coeliac disease can lead to additional serious health problems?

coeliac disease

What is coeliac disease?

  • It is an autoimmune condition where the small intestine becomes inflamed and unable to absorb nutrients
  • It is caused by an adverse reaction to gluten , which is found in any food or drink containing wheat, barley, rye eg cereals, pasta, bread, cake, beer.
  • It is not an allergy or intolerance to gluten.
  • It is hereditary
  • It could result from environmental factors eg a digestive system infection in childhood

  • It is estimated that one in 100 people in UK have coeliac disease, and that nearly half a million people aren’t yet aware of their condition.

What are the symptoms?

  • diarrhoea  
  • abdominal pain
  • bloating
  • wind
  • indigestion 
  • nausea
  • constipation
  • hair loss
  • fatigue 
  • weight loss
  • itchy skin rash 
  • delayed growth/ puberty  

What are the risks of coeliac disease?

  • Malnutrition
  • Increased risk of other autoimmune diseases eg Type 1 diabetes, autoimmune thyroid disease
  • Lactose intolerance
  • Lymphoma and  bowel cancer
  • Unexplained infertility
  • Osteoporosis
  • Irritability and depression – children with coeliac disease are irritable
  • Low birthweight babies
  • Dental defects

How can coeliac disease be treated?

Currently the only treatment for coeliac disease is lifelong adherence to a strict gluten-free diet.

And the good news?

In most cases the symptoms can be reversed and the complications prevented by a gluten-free diet. Early diagnosis and treatment are key. See Dr Soori at Roseneath Medical Practice for full evaluation of your symptoms and same day blood tests to help identify if you may have coeliac disease. If required a specialist referral for a biopsy confirmation of the diagnosis can then be arranged.

Vitamin D deficiency

Did you know that as many as 1 in 5 adults and 1 in 5 children in the UK have low vitamin D levels?

Vitamin D deficiency

Why is vitamin D deficiency so common in the UK?

We gain some vitamin D from food, but most from sunlight.

What are the food sources of vitamin D?

  • Oily fish (such as salmon, mackerel and sardines), cod liver oil and other fish oils
  • Eggs
  • Meat
  • Mushrooms
  • fortified foods – such as most fat spreads and some breakfast cereals

Why is vitamin D important for our health?

  • For our bone and muscle health
  • Deficiency is associated with Diabetes, Heart disease, Breast cancer, Bowel cancer, Alzheimer’s disease

Who is at risk of Vitamin D deficiency?

  • Pregnant and breastfeeding women
  • Under 5 year olds
  • Over 65 year olds
  • People who have little or no exposure to the sun eg those who cover-up for cultural reasons, people who are housebound or who stay indoors for long periods of time.
  • People with darker skin (these groups are not able to make as much vitamin D as those with paler skin).

How does vitamin D deficiency present itself?

  • Many have no symptoms or only vague symptoms of tiredness or body aches
  • Proximal muscle weakness
  • Rib, hip, pelvis, thigh and foot pain are typical
  • Fractures
  • Extreme cases can cause rickets in children, osteomalacia in adults

How can you find out if you have vitamin D deficiency?

  • A simple blood test done by Dr Sumi Soori at Roseneath Medical Practice, with same day results.
  • This may be combined with further blood tests to look for changes linked to low vitamin D and possible referral for wrist x-ray in a child to check on bone development.

 

St Margarets Fair

Roseneath Medical Practice at St Margarets Fair – 8th July 2017

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Dr Soori and the Roseneath Medical team were at St Margarets Fair on Saturday 8th July, introducing themselves to some of the  local community and enquiring about patients’ hopes and expectations from a quality medical service. Thank you for having us!

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A Guide to Meningitis

meningitis

A Guide to Meningitis by Dr Sumi Soori

Meningitis is the inflammation of the meninges, the membranes that cover the brain and spinal cord. Most cases are caused by infection in children, from babies to young adults. It can be a potentially serious illness which can be life threatening. However, if dealt with quickly, it can be treated.

Types of Meningitis

Meningitis is usually caused by a bacterial or viral infection. Viral meningitis is the most common but least serious type; bacterial meningitis is rare but can be life threatening.

Possible bacteria and viruses that may cause meningitis:

  • Meningococcal bacteria – types A, B,C,W,X,Y,Z
  • Pneumococcal bacteria
  • Haemophilus influenza B bacteria
  • Mumps virus
  • Herpes simplex virus (usually cause cold sores or genital herpes)
  • Enteroviruses (usually cause mild stomach infections

Signs and symptoms

High fever (not always in babies under three months)

  • Reduced feeds or nausea or vomiting
  • Fatigue, drowsiness or floppiness
  • Irritability, confusion, agitation
  • Headache
  • Bulging fontanelle (soft spot on head) in babies
  • High pitched cry
  • Rapid breathing
  • Pale mottled skin, with cold hands and feet
  • Limb/joint pains or stiffness, neck stiffness
  • Fits
  • Dislike of bright light
  • Rash

The rash associated with meningitis usually starts with small pinpricks, which then spread throughout the body, turning into red/ purple blotches.

Glass test: A rash that does not fade under pressure (when a glass is rolled over it) is a sign of life-threatening blood poisoning (septicaemia). However, a rash does not appear in a number of cases of meningitis. Remember that the rash may be harder to see on dark skin. Checking for spots on paler parts of the body (eg palms of hands and soles of feet) maybe helpful in these cases.

Complications:

Complications are rare after viral meningitis. They are more common after bacterial meningitis, and in approximately 1% of cases it is fatal.

  • Hearing and vision loss
  • Cognitive problems (memory issues, learning difficulties)
  • Difficulties with co-ordination
  • Epilepsy
  • Bone and joint problems or limb loss (due to rapid spread of infection)
  • Kidney problems
  • Psychological upset

Vaccines that can help reduce the chances of your child getting meningitis:

There are a number of meningitis vaccinations available that provide protection against some of the infections that can cause meningitis.

  • Meningitis B vaccine (a new vaccine provided on the NHS for infants, available privately for other children)
  • 5-in-1 vaccine (includes protection against Haemophilus influenzae B, a bacteria that can cause meningitis)
  • Pneumococcal vaccine
  • Men C vaccine (protects against Meningococcal C bacteria)
  • MMR vaccine (Meningitis can occur as a complication of measles, mumps or rubella)
  • Meningitis ACWY vaccine (protects against four bacteria types that can cause meningitis)

Important points to consider:

  • Not all children get all the typical symptoms
  • Don’t wait for the rash as it doesn’t always appear
  • Vaccination is key in helping prevent cases of meningitis
  • Trust your parental instincts. Act fast, get medical help immediately if you are worried your child may have meningitis.

Dr Sumi Soori is a Private GP at Roseneath medical practice who has a strong interest in Paediatrics and Women’s health. The practice is open to new patients and offers appointments seven days a week. For more information, visit http://www.roseneath.co.uk